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EA188386 - Plumbing - Single Fam - Issued Date 12/06/2023 PERMIT City of Eagan Permit"': Plumbing 3830 Pilot Knob Rd ,,�;; %e;A�,. Permit Number: EA188386 Eagan,MN 55122 `-•• (651)675-5675 111111111111 IN 11111111111111111111111111111111 www.cityofeagan.com * E R 1 8 8 3 8 6 k Date Issued: 12/6/2023 Site Address: 1273 Interlachen Dr Lot: 7 Block: 2 Addition: Dakota Path 5th PID:10-19544-02-070 Use: * 10 — 19544 - 0Z - 070 Description: Sub Type: Single Fam Work Type: Alteration Description: plumbing for basement finish Meter Size Meter Ty pe Manufacturer Serial Number Remote Number Line Size Comments: Fee Summary: PL-Plumbing Permit Fee $64.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 Total: $65.00 Contractor: Owner: - Applicant - Uday Sambhara 1273 Interlachen Dr Eagan MN 55123 This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature ----------------- 9 e For Office Use I �'® �'R I 188386 �s n0 ARL EL I Permit#: A[ 3111111 EAGI�% I I Permit Fee: I 12/6/2023 I Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 FAX: (651)675-5694 I Staff: buildinginspectionscD-cityofeagan com L---------------- RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 11/20/2023 Site Address: 1273 interlachen Dr. , Eagan, MN-55123 Unit#: Applicant is: ® Owner El Contractor �,...�.... me:�U d ay Sa m b ha ra Homeowner Address: 1273 Interlachen Dr. Eagan City: I State: MN Zip: 55123 Phone Email:408.203.5355 uday.sambhara@gmail.com , Type of Work_ —New _Replacement _Repair _Rebuild ✓ Modify Space —Work in R.O.W. Description of.work: plumbing roughed in for basement finish Tankless Water Heater Standard Water Heater Lawn Irrigation (_RPZ/_PVB)Description Water Softener V( Add Plumbing Fixtures(_Main/_Lower Level) Septic System Description:rough in for bathroom kitchen $ New Abandonment Connection to City Water from Well � Company: Contact: Plumbing Address: City: Contractor.'` State: Zip: Phone: Email: mm�License#: Expiration Date: RESIDENTIAL FEES $150.00 New Residential or Connection to City Water(includes State Surcharge) $65.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $65.00 Lawn Irrigation (includes State Surcharge) $65.00 New fixtures, adding, altering, or removing piping (includes State Surcharge) $65.00 Septic System Abandonment(includes State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.00pherstateonecall.oro for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. XUday Sambhara S X , Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Meter Size(if applicable): Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final